Conclusions and recommendations
Ethical and moral points of view
1. We
regret that the Department of Health did not seek to specify more
clearly in its consultation what views it was seeking, nor to
evaluate fully the responses of the public consultation exercise.
We recommend that in future a more systematic statistical or scientific
approach is developed to quantify and qualify the results of public
consultation. (Paragraph 41)
2. We
recognise the sincere ethical and moral concerns associated with
research of this nature and are therefore concerned that, to respond
to these concerns, any regulatory framework associated with use
of human-animal chimera or hybrid embryos in research should be
transparent and workable. (Paragraph 42)
3. We
are of the opinion that ethical and moral concerns should be considered
within the context in which they are made, and that inappropriate
use of science to justify ethical and moral arguments is unhelpful.
Inappropriate use of science should be identified and disregarded
by Government and other policy-makers. (Paragraph 43)
4. In
line with the recommendation of the previous Science and Technology
Committee, we recommend the creation of a new Parliamentary standing
Committee on Bioethics. (Paragraph 44)
Potential problems with this research
5. In
the event that research using cytoplasmic hybrid embryos is authorised,
we urge the Government to ensure that appropriate risk management
procedures are established and implemented (Paragraph 54)
6. Research,
by its very nature, is aimed at enhancing knowledge. Whilst we
recognise scientific debate about the potential usefulness of
cytoplasmic hybrid embryos in research, we do not believe that
the existence of differing views of whether a methodology is workable
before it has been sufficiently tested is reason enough to prohibit
such research from taking place. (Paragraph 57)
Scientific opposition to research involving hybrid
and chimera embryos
7. We
recognise the scientific debate among experts about the potential
usefulness of the research under discussion in this Report but
we conclude that the scientific community as a whole is supportive
of the work being licensable, even where there may be doubts about
its likely success. (Paragraph 58)
Conclusions on the desirability and necessity
of hybrid and chimera embryo research
8. We
believe that the creation of human-animal chimera or hybrid embryos,
and specifically cytoplasmic hybrid embryos, is necessary, for
example in the pursuit of knowledge about the genetic basis of
disease and the direction of stem cells into future cell-based
therapy. Furthermore, we recognise that stem cells produced through
this methodology may be useful in drug discovery and that they
may lead to the eventual reduction of animal use, for example
in toxicity testing. (Paragraph 59)
9. We
believe that use of animal eggs in the creation of cytoplasmic
hybrid embryos will help to overcome the current shortage of human
eggs available for research and that use of animal eggs is required
to enable researchers to develop the practical techniques which
may be required for eventual production of cell-based therapy
through this method using human eggs. (Paragraph 60)
The role of the HFEA in regulating research
10. We
agree with HFEA that the wider issue of whether human-animal chimera
or hybrid embryos should be allowed for research should be decided
by Parliament. However, it is the role of HFEA to make judgements
in areas considered within the spirit of the HFE Act where its
legal advice indicates that it is reasonable to do so. Not to
do so undermines the effectiveness of an independent regulator.
(Paragraph 64)
11. We
support the decisions of the HFEA Science and Clinical Advances
Group, Ethics and Law Committee and Horizon Scanning Group that
an embryo containing human nuclear DNA and mitochondria of animal
origin should be regarded as a human embryo for the purposes of
the 1990 HFE Act. (Paragraph 68)
12. We
understand that some form of viability test will have been subject
to the legal advice sought by the HFEA on this issue. Nevertheless,
we have grave scientific concerns about its validity. We do not
believe that it is appropriate to use viability as a mechanism
for determining whether or not a creation is human, particularly
since attempts to prove viability through implantation in a uterus
would be unlawful. Furthermore, were the viability test to be
failed, this would mean that such research would be completely
unregulated, which case law has found to be unsatisfactory. (Paragraph
71)
13. We
support the decision of the HFEA that research involving the creation
of cytoplasmic hybrid embryos would probably fall with the remit
of the HFEA to regulate and license and would not be prohibited
by current legislation. Although we have received submissions
from those who do not believe that this is the case, the weight
of scientific and legal argument is in favour of treating these
embryos as human. We accept that this decision might leave the
HFEA open to legal challenge that it was acting ultra vires in
considering the applications. However, given the accepted desirability
for legal clarification in this area, we view legal challenge
as highly likely but also potentially helpful in establishing
the limits of the HFEA's remit. (Paragraph 72)
14. It
would have aided transparency and public and parliamentary debate
on this subject if the HFEA's legal advice had been published.
(Paragraph 75)
15. We
view public consultation in this area as valuable. However, we
are of the opinion that this exercise should have been undertaken
when the HFEA first received information to indicate that applications
for licensing the creation of human-animal chimera or hybrid embryos
could be expected. (Paragraph 76)
Delay in assessment of the applications
16. While
we agree with the HFEA that the general issues of hybrid and chimera
embryos should be dealt with by Parliament, we consider that it
is the role of the HFEA to deal with the applications for the
creation of cytoplasmic hybrid embryos under current legislation
with due speed and process. (Paragraph 77)
The parliamentary process
17. We
agree that there is a need for revised legislation, decided by
Parliament, to regulate for current developments in the creation
of human-animal hybrid and chimera embryos and to provide a future
framework under which regulatory authorities can operate. (Paragraph
78)
18. We
support the Government's intention for pre-legislative scrutiny
of the draft Bill and encourage the Government to take advantage
of all possible sources, including this Report and that of our
predecessor Committee, to inform the debate. (Paragraph 79)
Definitions and terminology in the draft Bill
19. We
are critical of the Government for not clearly setting out areas
of research practice intended to fall under the proposed legislation.
Much confusion has thus been caused. However, we accept that this
lack of clarity may result from the lack of understanding more
generally with regard to the potential for this area of research
and what the term 'human-animal chimera or hybrid embryos' may
cover. We welcome moves by the Academy of Medical Sciences to
address this problem and we urge the Government to work with the
Academy, HFEA and other stakeholders to ensure that the scope
of research practice intended to be covered by legislation is
clearly defined in the draft Bill. (Paragraph 85)
The proposed prohibition
20. We
find the Government proposals in the White Paper unnecessarily
prohibitive and recommend the Government ensure that its draft
Bill reflects the liberal view it claims to be taking in opening
the door to research using human-animal chimera or hybrid embryos.
(Paragraph 88)
21.
We believe that there is a need to allow research using some forms
of human-animal chimera or hybrid embryos, including but not exclusively
cytoplasmic hybrid embryos, to proceed immediately. We recommend
that the Government propose draft legislation which is immediately
permissive, through regulation, to those areas of research it
deems acceptable. (Paragraph 90)
Drawing the line: acceptable research practice
22. We
believe that, in general, the creation of all types of human-animal
chimera or hybrid embryos should be allowed for research purposes,
if appropriately regulated. However, in line with the recommendation
of the previous Committee, we see no benefit from allowing the
development of human-animal chimera or hybrid embryos past the
14-day stage in vitro and recommend that such practice
is not licensed unless it is proved necessary. (Paragraph 93)
23. In
line with the recommendations of the previous Science and Technology
Committee, we recommend that legislation prohibit the implantation
of human-animal chimera or hybrid embryos in a woman. (Paragraph
94)
24. We
recommend that care be taken by the Government to ensure that
the draft Bill does not prohibit research using human embryonic
stem cell lines where such research is currently regulated through
the Animals (Scientific Procedures) Act 1986. (Paragraph 96)
25. We
recommend that legislation allow for regulation of the implantation
of human stem cells, whether created from human embryos or human-animal
chimera or hybrid embryos, into animal blastocysts. (Paragraph
98)
Legislative and regulatory structure
26. We
have made it clear that we regard the current Government proposals
as overly prohibitive and that there should be regulation of this
research area through licensing. The new legislative structure
should permit the creation of animal-human hybrid and chimera
embryos for research purposes, subject to regulation, and should
aim to reduce the risk of litigation on borderline cases. (Paragraph
99)
27. We
recommend that the Government proposals in the Bill for the regulation
of the creation of animal-human chimera and hybrid embryos be
based on the legislative structures outlined in paragraph 100
of this Report. (Paragraph 102)
Impact of the legislative structure on UK science
28. A
ban and the prospect of a ban in draft legislation on human-animal
chimera or hybrid embryos would undermine the UK's leading position
in stem cell research and the international reputation of science
in the UK. (Paragraph 104)
29. We
are concerned that a ban or a proposed ban may not only encourage
researchers to leave the UK in order to undertake their research
in a more permissive regulatory regime, but it may also inhibit
early stage researchers entering the field. Whilst we do not believe
that UK competitiveness should dictate policy in a research area,
we believe that the Government should consider this as a contributory
factor and we recommend that the Government ensure that it is
properly briefed on potential implications from future legislation
in this area. (Paragraph 107)
Public confidence
30. Public
awareness of the need for and benefits of research in this area
should be encouraged, alongside an understanding of the reasons
for the requirement to update legislation. We regard it as the
responsibility of the Government and HFEA to keep the public informed
in respect of developments in legislation related to the creation
of human-animal chimera and hybrid embryos for research. (Paragraph
108)
31. We
take criticisms of the Government's consultation seriously and
we recommend that they be taken into consideration both in relation
to the proposals for revised legislation in this area and in future
consultation exercises. (Paragraph 111)
32. We
find it unhelpful that witnesses on both sides of the argument
have claimed to represent the public view, where supporting evidence
for this is lacking. (Paragraph 113)
Public understanding
33. Accomplishing
effective public engagement in this debate may be difficult, but
significant effort must be made to this end. We believe that additional
education is required to enhance public understanding of the techniques
proposed by this area of research and its associated potential
achievements and problems, including scientific, ethical and moral
concerns. (Paragraph 114)
34. Notwithstanding
the accompanying delay in consideration of the King's College
London and Newcastle University research applications, we welcome
the HFEA proposed consultation on general principles and commend
steps taken by the Authority to ensure appropriate drafting. We
also commend the Government for allowing funding to be allocated
toward education in this area. (Paragraph 115)
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